# LAURA RABINOVITZ, LICSW, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801449822
- **Authorized official:** LAURA RABINOVITZ LICSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (802) 238-5071

## Contact information

- **Practice address:** 28 HOWARD ST, STE 205, BURLINGTON, VT 05401-0404
- **Practice address phone:** (802) 238-5071
- **Mailing address:** 95 LYMAN AVE, BURLINGTON, VT 05401-5051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 07/18/2019